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How does AHDH impact my relationship? ADHD couples therapy may help.

Updated: Oct 24

HOW MANY OF THE MOST COMMON ADHD SYMTOMS IMPACT YOUR RELATIONSHIP? ADHD couples therapy may help.


lesbian girls in kitchen trying to figure out their adhd relationship issues

As a Marriage and Family Therapist (MFT) specializing in ADHD relationships, I’ve seen firsthand how navigating conflict with a partner who has ADHD can be uniquely challenging. While all relationships face conflicts, ADHD brings a layer of complexity that can make it feel like you’re fighting uphill. In this article, I’ll share the top 25 things that make conflict difficult when you’re in a relationship with someone who has ADHD. These challenges are broken down into five key areas: sex, communication, resolving conflict, parenting, and household management. One crucial element that underpins many of these difficulties is emotional dysregulation, a common trait in ADHD that can intensify conflict.


Sex

Intimacy is a deeply personal area where ADHD can play a significant role in creating misunderstandings or frustrations.

  1. Inconsistent desire for intimacy: Partners with ADHD may experience fluctuating libido, often tied to emotional states, stress levels, or being distracted.

  2. Difficulty maintaining focus during sex: ADHD can make it hard for individuals to stay present, which can leave their partner feeling disconnected or unimportant.

  3. Sensitivity to criticism: Even gentle feedback about intimacy can feel overwhelming for a partner with ADHD, triggering feelings of inadequacy or defensiveness.

  4. Forgetfulness about important sexual preferences or desires: Sometimes, a partner with ADHD may forget things their partner has expressed as important in intimacy, leading to frustration or feelings of being overlooked.

  5. Impulsivity: On the flip side, impulsivity can lead to a mismatch in sexual timing, where one partner may initiate sex at moments that don’t feel appropriate for the other.


Communication

Communication issues are often magnified in ADHD relationships, as ADHD can affect attention, processing, and memory.

  1. Interrupting: Impulsivity often causes individuals with ADHD to interrupt, leaving the other partner feeling unheard or dismissed.

  2. Forgetting important details: Whether it’s a conversation about finances or plans for the weekend, forgetfulness can lead to misunderstandings and frustration.

  3. Lack of follow-through: Partners with ADHD may agree to do something but fail to follow through because they forgot or got distracted.

  4. Difficulty listening actively: ADHD can make it hard to stay engaged in long conversations, leading to feelings of disconnection or being unimportant to their partner.

  5. Emotional dysregulation leading to overreaction: When communication gets tense, someone with ADHD may struggle to regulate their emotions, turning a small disagreement into a much bigger issue.


Resolving Conflict

Conflict resolution can be one of the most difficult areas in ADHD relationships due to impulsivity and emotional dysregulation.

  1. Emotional outbursts: A partner with ADHD might go from 0 to 100 emotionally, reacting in ways that feel out of proportion to the conflict at hand.

  2. Difficulty staying on topic: Mid-argument, someone with ADHD may veer off track, bringing up unrelated issues and making it harder to resolve the original conflict.

  3. Impulsivity leading to hurtful comments: In the heat of the moment, impulsivity can lead to saying things that hurt, even if they aren’t meant.

  4. Avoidance of conflict: Sometimes, ADHD partners may avoid conflict altogether, not because they don’t care but because they feel overwhelmed by the emotions and mental effort involved in addressing it.

  5. Difficulty recognizing their own role in the conflict: ADHD can make it challenging to reflect on one’s actions, leaving one partner feeling like they’re always to blame.


Parenting

When you add kids into the mix, ADHD can complicate the already demanding role of co-parenting.

  1. Inconsistent discipline: A partner with ADHD may struggle with consistency, leading to mixed messages for the kids and frustration for the other parent.

  2. Forgetfulness with important child-related tasks: ADHD can cause partners to forget things like school events, doctor’s appointments, or even following up on behavioral issues.

  3. Impulsivity in parenting decisions: Making decisions on the fly, without consulting their partner, can lead to tension and feelings of being sidelined.

  4. Difficulty managing children’s emotions alongside their own: If a partner with ADHD is struggling with their own emotional dysregulation, it can make it harder for them to stay calm when their child is upset.

  5. Overwhelm from parenting responsibilities: The multiple demands of parenting can feel overwhelming to someone with ADHD, causing them to shut down or disengage, leaving their partner to pick up the slack.


Household Management

Household tasks are a common source of tension in any relationship, but in an ADHD relationship, the challenges can feel particularly pronounced.

  1. Difficulty staying organized: Disorganization is a hallmark of ADHD, leading to messy spaces, misplaced items, or lost bills, which can cause friction between partners.

  2. Procrastination on household tasks: Things like cleaning, paying bills, or even grocery shopping may get put off repeatedly, causing resentment from the other partner.

  3. Inconsistent routines: Partners with ADHD may struggle to maintain routines, whether it’s managing laundry or sticking to a schedule for shared responsibilities, creating an imbalance in household duties.

  4. Difficulty prioritizing tasks: ADHD can make it hard to decide what needs to be done first, so important tasks may get neglected in favor of less pressing ones, leading to frustration.

  5. Relying on their partner to manage household responsibilities: Often, the non-ADHD partner may feel like they’re carrying the metal load of the household, leading to feelings of burnout or resentment.


Will ADHD couples therapy help?

One of the most difficult aspects of ADHD is emotional dysregulation, which means that someone with ADHD may feel their emotions more intensely and have trouble calming down once they’re upset. This can affect every area mentioned above—whether it’s a disagreement about sex, a miscommunication, or a parenting decision gone awry. Emotional dysregulation can turn a small problem into a major conflict, leaving both partners feeling exhausted and misunderstood.


Understanding these challenges is the first step toward managing them. Conflict in ADHD relationships doesn’t have to be a constant source of frustration. With the right strategies and support, couples can learn to navigate these difficulties, build stronger communication, and ultimately create a more fulfilling partnership. Finding a clinician specializing in ADHD can help.

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